Heart Bypass Surgery in Turkey

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Heart bypass surgery is mainly used for the treatment of coronary artery disease. Through coronary artery bypass surgery, a heart artery that is completely or partially clogged is bypassed. A healthy blood vessel is removed during surgery from the leg or chest region. The vessel is joined below the heart artery blockage. The new route enhances the flow of blood to the heart muscle. The heart condition that led to the blockage, such as atherosclerosis or coronary artery disease, is not completely treated by coronary artery bypass surgery. However, it can lessen signs like shortness of breath and chest pain. The procedure, referred to as CABG, may lower the chance of mortality from cardiac disease.

Less invasive methods to bypass clogged coronary arteries have been developed, however classic “open heart” surgery is still often performed and frequently preferable in many instances. The 1990s saw the development of “off-pump” operations, in which the heart is not required to be stopped. Other minimally invasive techniques may be employed, including robotic treatments and keyhole surgery (both of which are performed through very small incisions). To learn more about these techniques continue reading “Heart Bypass Surgery in Turkey”.

As the name implies, the patient’s chest is cut to access the patient’s heart during open-heart surgery. If the artery delivering blood to the heart is blocked, open heart surgery is performed. It is done to either replace or repair the damaged heart valves as well as lower the chance of having a fatal heart attack. Whereas, an example of open-heart surgery is a bypass, in which the patient’s chest is often opened to provide access to the heart. The surgeons complete the remaining steps of the procedure in two avatars—off-pump and on-pump—after cutting open the patient’s chest.Invest in your health, invest in a brighter future. Our comprehensive medical programs deliver real results, while you indulge in the beauty and serenity of our destination.

Coronary arteries are the blood vessels that supply the heart muscle with oxygen and nutrients, and coronary artery disease (CAD) is the narrowing of these blood vessels. In other words, plaque accumulation in the walls of the arteries, called coronary arteries, supplying blood to the heart is what causes coronary artery disease. Deposits of cholesterol make form plaque. Over time, plaque formation causes the interior of the arteries to narrow. This accumulation makes the inside of the arteries smaller, which reduces the amount of oxygen-rich blood that can reach the heart muscle. Atherosclerosis is the name of this process.

When one or more of your coronary arteries are blocked or narrowed, your doctor may perform coronary artery bypass graft surgery (CABG) to cure the condition and restore your heart’s blood flow. The signs of coronary artery disease can be listed as follows,

• An ache in the chest
• Fatigue (extreme tiredness)
• Palpitations
• Abnormal heartbeat
• Respiration difficulty
• Swelling of hands and feet
• Indigestion

Unfortunately, coronary artery disease may not show any signs in its early stages, but it will still progress until there is enough arterial blockage to show symptoms and cause complications. You may experience a heart attack if the coronary artery blockage keeps getting worse and the blood flow to your heart muscle keeps getting worse.

Restoration of blood flow around a blocked heart artery is accomplished through coronary artery bypass surgery. If other initial therapies for a heart attack are unsuccessful, surgery may be performed as an emergency treatment. Under these conditions, your doctor might advise coronary artery bypass surgery,

• A blockage of the left major coronary artery. The heart muscle receives a lot of blood from this artery.
• Cardiac artery’s main artery is severely narrowed.
• Severe chest pain brought on by multiple cardiac arteries that are narrowed. Even when at rest or during light exercise, the narrowing lowers blood supply to the heart.
• Your lower left heart chamber isn’t functioning properly and you have several damaged cardiac arteries.
• A cardiac artery blockage was unresponsive to coronary angioplasty.

 

What is coronary angioplasty?

The use of a balloon to widen or unblock an artery is referred to as “angioplasty.” However, during the majority of contemporary angioplasty operations, a brief wire mesh tube known as a stent is also inserted into the artery. The stent is maintained in position permanently to encourage greater blood flow. This less invasive procedure widens the artery using a balloon on the end of a small tube known as a catheter. Usually, the artery is kept open with the aid of a tiny coil known as a stent. A coronary angioplasty typically requires less time to recover from than a coronary artery bypass graft, but there is a higher risk that the treatment will need to be repeated. Additionally, if several coronary arteries have narrowed and/or become blocked, or if the structure of the blood vessels close to your heart is abnormal, a coronary angioplasty may not be advised.

You can ask questions as your doctor walks you through the procedure.

• You will be required to sign a consent document giving the go-ahead for the test. Carefully read the paperwork, and if anything is unclear, ask questions.
• Before the surgery, your doctor will evaluate your medical history and perform a thorough physical examination to ensure that you are otherwise in good health. You could require diagnostic testing such as blood tests.
• You will be instructed to abstain from food and liquids for eight hours prior to the surgery, usually after midnight.
• The night before and the morning of the procedure, you might be instructed to take a shower using a particular soap or cleaner.
• If you believe you might be pregnant or are pregnant, tell your doctor.
• If you are sensitive to or allergic to any medications, iodine, latex, tape, or anesthetic medications, let your doctor know right away (local and general).
• Inform your doctor of all prescription and non-prescription drugs, vitamins, herbs, and dietary supplements you are using.
• If you have a history of bleeding issues or are using aspirin, blood-thinning medications, or any other medications that impact blood coagulation, let your doctor know. It’s possible that some of these medications must be stopped prior to the surgery.
• Your doctor may order blood tests before the procedure to figure out how long it takes for your blood to clot.
• If you have a pacemaker or any other implanted cardiac device, let your doctor know.
• If you smoke, try to stop as soon as you can. This will boost your general health and increase the likelihood that you will recover fully following surgery. Depending on your health, your doctor might provide you with further preparatory advice.

Before the surgery

When having coronary artery bypass surgery, you are often admitted to the hospital on the morning of the procedure. In the days and hours leading up to surgery, you have a number of blood and heart tests.

During the surgery

Cardiovascular surgeons, doctors with specialized training in heart surgery, do the operation. A group of healthcare professionals, including cardiologists, assist with your treatment. Before you enter the surgery room, a medical professional places an IV in your forearm or hand and administers sedative medication to calm you down. An intravenous (IV) injection is an injection of a drug or another substance into a vein and straight into the bloodstream. Through IV and a face mask, a combination of medications is administered to you which is generally called anesthesia that puts you in a sleep-like state.

There are two types of machines that you should get familiar with, a breathing machine and a heart-lung machine. A medical professional places a breathing tube in your mouth. This tube is connected to a ventilator, a breathing apparatus. During and soon following the procedure, the machine will breathe for you. A heart-lung machine keeps your body’s blood and oxygen supply intact while you have surgery. On-pump coronary bypass is the term used for this.

An average coronary artery bypass procedure lasts between three and six hours. The number of clogged arteries determines how long the procedure takes. A lengthy cut along the breastbone is normally made by a surgeon down the middle of the chest. To expose the heart, the surgeon spreads open the rib cage. The heart is briefly stopped by medication once the chest is opened. From that point, the heart-lung machine is turned on. The surgeon cuts out a portion of a healthy blood vessel, frequently from the lower thigh or the chest wall. A graft is a name given to this section of healthy tissue. Below the obstructed cardiac artery, the surgeon sutures the graft’s ends together. By doing this, blood is given a new route to travel through a blockage.

Following the procedure, the medical staff restarts your heartbeat in the operating room and turns off the heart-lung machine. The chest bone is closed by the surgeon using a wire. After the bone heals, the wire remains inside your body.

During coronary artery bypass surgery, more than one graft may be utilized. The following are some variations on coronary artery bypass surgery,

Beating heart (on-pump) surgery or off-pump surgery. In comparison to on-pump CABG, off-pump CABG is a relatively modern treatment and does not need the use of a cardiopulmonary bypass unit. This means that in some cases, coronary artery bypass surgery is performed without the use of a heart-lung machine. Instead, the beating heart is the site of the procedure. The particular region of the heart being operated on is stabilized using specialized equipment. As the rest of the heart is still beating, this kind of operation might be difficult. Not everyone can choose to do it. Therefore, CABG on a pump is the more conventional approach for bypass surgery.

Minimally invasive surgery. Small incisions are made in the chest by a cardiac surgeon during the procedure. The use of robotics and visual imaging aids the surgeon in working in confined spaces. Port-access or keyhole surgery are two terms used to describe minimally invasive heart surgery.

A group of medical professionals will check on you following coronary artery bypass surgery to ensure that you are as comfortable as possible. When you wake up, you can feel achy and disoriented. Typically, you can anticipate the following,

Respiratory tube. Until you wake up and can breathe on your own, the breathing tube remains in your throat.

Hospital stay. Spend one to two days in the intensive care unit of the hospital. Depending on how you heal and whether you experience complications, the total time of your hospital stay will vary. Following coronary artery bypass surgery, several patients return home after only a week.

Checks on respiration and heart rate. Following surgery, your medical team keeps a careful eye on you to look for complications. Your heartbeat and breathing are captured by machines. Your temperature is checked frequently.

Medicines. You receive medications intravenously (IV) to treat pain and avoid problems like blood clots. Your healthcare professional might advise you to start taking aspirin every day if you don’t already. You might have to take aspirin daily for the rest of your life. Regarding who benefits from aspirin medication, there are precise medical guidelines. Inform your doctor about your use of aspirin.

Cardiac rehabilitation. This supervised program of education, counseling, and exercise—often referred to as cardiac rehabilitation—helps patients with improved heart health following heart surgery. While you’re still in the hospital, you’ll be urged to begin moving and walking. Up until you can safely follow a home program, you continue your cardiac rehabilitation program at a hospital after you return home.

Rest at home. You need to keep an eye out for problems signs after surgery and while you’re recovering at home. If any of the following apply to you call your doctor,

• Fever
• Quick heartbeat.
• New or severe pain around the chest wound
• The area around your chest wound changing in color
• Fluid coming from your chest wound, bleeding

Following coronary artery bypass surgery, recovery typically takes 6 to 12 weeks. You can normally drive, go back to work or the gym, and start having sexual relations after 4 to 6 weeks with your doctor’s approval. But everyone’s recovery is unique. For advice, consult your healthcare practitioner.

Coronary artery bypass graft surgery (CABG) potential complications include,

• Bleeding during or following the procedure
• Clots in the blood can result in heart attack, stroke, or lung issues
• Infection at the site of the incision
• Pneumonia. The air sacs in one or both lungs become inflamed when someone has pneumonia.
• Breathing difficulties
• Pancreatitis. It is the medical term for pancreas inflammation.
• Kidney failure
• Irregular heartbeats. They are also called arrhythmias.
• An unsuccessful graft. Graft means the replacement of sick or damaged tissue removed from one region of the body with healthy skin, bone, or other tissue from another section of the body. 

If the operation is performed as an emergency procedure, there is a greater chance of complications. Your general health at the time of operation will also affect your individual risk of problems following coronary artery bypass surgery. Before the operation, be sure to share any concerns you have with your doctor.

The risk of problems is higher in people who have the following medical conditions,

• Blocked arteries in legs
• Chronic obstructive pulmonary disease (COPD)
• Diabetes
• Problems related to kidneys

In order to lower the chance of problems, medications are frequently administered prior to surgery to control bleeding, blood pressure, and infection. You can be given medication to regulate your blood sugar during surgery if you have diabetes.

Most patients will notice a significant improvement in their breathlessness and chest pain following a coronary artery bypass graft, and their chance of having a heart attack will be reduced. The treatment for coronary heart disease, however, is not a cure for coronary heart disease. Your grafted arteries will gradually harden and narrow if you don’t adjust your lifestyle, such as eating a healthy diet and exercising frequently. You may occasionally need a second coronary artery bypass graft or surgery to widen your arteries using a tiny balloon and a tube called a stent (coronary angioplasty). How well you manage chronic illnesses like diabetes, high blood pressure, and high cholesterol will determine your results and long-term outcome. It’s crucial to take your medications exactly as prescribed. By altering your lifestyle, you may control and even enhance your heart health. Try the suggestions below,

Avoid smoking. For atherosclerosis in particular, smoking is a significant risk factor for heart disease. The most effective approach to lowering your chance of developing heart disease and its complications is to stop smoking. Consult your provider if you require assistance in quitting smoking.

Pay attention to your nutrition. Eat nutritious foods such as whole grains, fruits, and veggies. Cut back on salt, sugar, and saturated fats.

Control your weight. Heart disease risk is increased by being overweight. Find out from your doctor what is a healthy weight for you.

Exercise. Diabetes, high cholesterol, and high blood pressure are all risk factors for heart disease that can be managed with regular exercise. Plan to engage in physical activity for 30 to 60 minutes on regular basis throughout the week with the approval of your doctor.

Stress management. Look for strategies to lessen emotional stress. It might be beneficial to engage in mindfulness exercises and socialize with others in support groups. Discuss coping mechanisms with your healthcare professional if you suffer from depression or anxiety.

Get good sleep. The risk of heart disease and other chronic diseases may rise as a consequence of poor sleep. Adults should try to sleep 7 to 9 hours every night.

You may ask yourself “What is the cost of heart bypass surgery in Turkey?” The cost of bypass surgery is mostly determined by the hospital performing the procedure and the area of the country in which it is located, as is the case with other medical procedures. The price will also vary according to any possible complications that can arise in the future. Taking everything into consideration, the cost of heart bypass surgery is around $40,000 and $130,000.

Heart Bypass Surgery in Turkey Summary (Price, Duration Time, Hospitalization)

 

Operation Number	4-6	Time to return to work	4-6 weeks
Operation Time	3-6 hours	Recovery	6-12 days
Anaesthesia	General Anaesthesia	Persistence of Results	–
Sensitivity Time	–	Hospital Stay	1-2 days
Price	From 40,000 EUR to 130,000 EUR